Mdvip Medical Group PA LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MDVIP MEDICAL GROUP PA LLC

Practice address

200 Lakeside Dr Ste 222
Horsham, PA 19044-2321

Phone

(215) 346-2821

Fax

(215) 346-2823

NPI assigned

Nov 21, 2016

Organization subpart

Yes

Parent organization

MDVIP MEDICAL GROUP HOLDINGS LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrea Klemes, D.O.

Title

Sole Member

Phone

(561) 982-4300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Mdvip Medical Group Holdings LLC

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13865/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/11105/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Marie Tyler Rocks, D.O.

  • Internal Medicine Physician
  • Horsham, PA
  • NPI 1457670234
  Medicare reassignment NPD
• David Zweiback

  • Internal Medicine Physician
  • Hilton Head Island, SC
  • NPI 1457369233

  PA

  Medicare reassignment NPD
• Glenn A Hyatt, MD

  • Internal Medicine Physician
  • Ambler, PA
  • NPI 1447335310
  NPD (past)
• Mary Ellen Pelletier, MD

  • Hospitalist Physician
  • Doylestown, PA
  • NPI 1336219054

  Internal Medicine

  NPD (past)
• Brian M Resnick, DO

  • Internal Medicine Physician
  • Telford, PA
  • NPI 1144305012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1043753213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313307",
            "telephone_number": "561-982-4300",
            "fax_number": "561-953-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAKESIDE DR STE 222",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442321",
            "telephone_number": "215-346-2821",
            "fax_number": "215-346-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDVIP MEDICAL GROUP PA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDVIP MEDICAL GROUP HOLDINGS LLC",
        "enumeration_date": "2016-11-21",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "KLEMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "561-982-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan S McKelvey, DPT
• Vicky McKelvey
• Margaret A McLaughlin, CRNP RN
• Elizabeth McNeff
• David Richard McPhillips, OD
• Med Supply Cabinet, Inc
• Medi Trans Logistics L.L.C
• Taylor Kristine Meese, DDS
• Amory Meigs, MD
• Kia Morley Mellon, CRNP

• Internal Medicine Physician in Horsham, PA
• Providers in Horsham, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.